Different approaches to caudate lobectomy with “curettage and aspiration” technique using a special instrument PMOD: A Report of 76 cases

Figure 1 Pre-operative CT scan shows the tumor originating in caudate lobe, post-opera-tive CT scan shows splitting line (arrow).

Figure 2 Five short hepatic veins ligated from caudal direction to cranial direction respestively (Arrow).

Figure 3 The suprahepatic inferior vena cava and right hepatic vein (RHV) dissected and encircled with tapes (thick arrow: RHV, thin arrow: suprahepatic IVC).

Figure 4 Four groups of portal triads to the caudate lobe(Arrow) were divided, the tumor was detached from the hilum.

Figure 5 The tumor still attaches to MHV (1: tape across RHV, 2: tape across IVC, 3: tape across pedicle, 4: the portion of bifurcation, T: tumor).

Figure 6 Completely resected tumor. Two halves of the liver were sutured. (1: RHV, 2: common trunk of MHV and LHV, 3: IVC, R: right liver, L: left liver, Arrow: interlobar plane, T: tumor).